Effect of Orem's self-care model on the quality of life in adolescents with diabetes type ۱: A randomized clinical trial

The present study aims to determine the effect of Orem's self-care model on the quality of life in adolescents with diabetes type ۱. A randomized controlled trial was conducted at Guilan University of Medical Sciences in Rasht, Iran. Adolescents diagnosed with type ۱ diabetes constituted the study's participants. The research enrolled ۸۰ diabetic patients, divided randomly into two groups: the control group and the intervention group. The study employed four blocks labeled A, B, C, and D, selecting the initial block through a lottery-based method. The intervention group received a series of eight training sessions structured by the Orem’s self-care model. In contrast, the control group received standard routine education without the structured sessions aligned with the aforementioned model. The data collection instruments used in this study comprised a demographic information questionnaire, an Orem’s health status questionnaire, and an SF-۳۶ quality of life questionnaire. The study comprised ۸۰ diabetic type ۱ patients, with ۴۰ assigned to the control group and ۴۰ to the intervention group. The average age of the participants was ۱۳.۴۰ (SD=۲.۲۵). Notably, a substantial difference was observed in the change of scores about the physical dimension between the intervention and control groups (P=۰.۰۳). Additionally, a significant disparity in mental dimension scores was observed between the intervention and control groups (P=۰.۰۲). Our investigation demonstrated that the development and execution of an educational training program grounded in the Orem's self-care model yielded an enhancement in the quality of life among adolescent patients diagnosed with type ۱ diabetes.

کلیدواژه ها:

Quality of Life ، Orem’s Self-Care Model ، Adolescent ، Diabetes Mellitus